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Organization

DURHAM FAMILY MEDICINE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHEAL JEFFERY DURHAM D.O. (OWNER)
(918) 540-3500
Entity
Organization

Contact information

Practice address
203 2ND AVE SW, MIAMI, OK 74354-6818
(918) 540-3500
(918) 540-3506
Mailing address
203 2ND AVE SW, MIAMI, OK 74354-6818
(918) 540-3500
(918) 540-3506

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4291
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200075960A
OK
Enumeration date
06/26/2007
Last updated
03/31/2010
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